Kelsey Lanae Phillips, OTR/L, MSOT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

1410 Long Run Rd
Louisville, KY 40245-4334

Phone

(502) 244-8011

Fax

(502) 244-6631

NPI assigned

Apr 22, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Green Hill Therapy Inc

  • Physical Therapist
  • Louisville, KY
  • NPI 1063512697
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1235873605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 SAINT REGIS DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400656316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 LONG RUN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454334",
            "telephone_number": "502-244-8011",
            "fax_number": "502-244-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KELSEY",
        "middle_name": "LANAE",
        "credential": "OTR/L, MSOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://greenhilltherapy.org/",
            "affiliation": "Y",
            "endpointDescription": "Pediatric therapy clinic",
            "affiliationName": "Green Hill Therapy Inc",
            "address_1": "1410 Long Run Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402454334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Glenda Renee Phillips, APRN
• Jeanna Phillips, APRN
• Justin T. Phillips, M.D.
• Katherine Anne Phillips, LPATA, TCADC
• Katie Lynn Phillips, O.D.
• Lauren Phillips, MD
• Mathew Todd Phillips, M.D.
• Melinda Marie Phillips, RDH
• Natalie Rae Phillips
• Rebecca Lynn Phillips, M.S.CCC-SLP

• Pediatric Occupational Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Pediatric Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.